针刺治疗配合中医护理干预对肝郁型面瘫患者的影响

Effect of acupuncture therapy combined with nursing intervention of TCM on patients with facial paralysis due to stagnation of liver

目的:探讨针刺治疗配合中医护理干预对肝郁型面瘫患者的影响。方法:对符合纳入标准的57例肝郁型周围性面瘫患者采取分期针刺治疗,同时由护理人员对患者进行穴位按压、情志疏导、健康教育等护理干预措施。治疗前后对患者采用面神经功能分级量表(H-B)、抑郁量表(SDS)、焦虑量表(SAS)进行评分及检测面部血流灌注量,并进行比较。结果:本组H-B、SDS、SAS量表评分均较治疗前明显下降(P<0.01,P<0.05),而患侧面部血流灌注量较治疗前增加(P<0.05);本组痊愈13例,好转12例,有效25例,无效7例,总有效率为87.72%。结论:在针刺治疗基础上施加悉心护理干预能有效减轻肝郁型周围性面瘫患者抑郁、焦虑情绪,促进整体气血运行,使面部脉络气血得到充养,从而改善面瘫症状。

Objective：TostudytheeffectofacupuncturetherapycombinedwithnursinginterventionofTCMonpatientswithfacialpa-ralysis due to stagnation of liver. Methods：57 patients who met the inclusion criteria of peripheral facial paralysis caused by stagnation of liver were teated with staging acupuncture therapy,at the same time nursing staff implemented comprehensive nursing intervention,such as acupressure,emotional counseling and health education. The patients were scored by using H-B,SDS and SAS,and the facial blood perfu-sion was detected and compared before and after treatment. Results：The scores of H-B,SDS and SAS were significantly decreased after treatment compared with those before treatment（P﹤0. 01,P﹤0. 05）;the affected facial blood perfusion increased after treatment com-pared with that before treatment（P﹤0. 05）;13 cases were cured,12 cases improved,25 cases effective,7 cases ineffective,the total effec-tive rate was 87. 72%. Conclusion：The acupuncture therapy combined with nursing intervention can effectively relieve anxiety and depres-sion of the patients and promote the circulation of Qi and blood so as to alleviate the symptoms of facial paralysis.